Surgery Surgery
Conditions
Interventions
Potential participants will attend hospital with an umbilical hernia which is either stuck (non-reducible), is causing bowel blockage (obstructed), or has lost blood supply to its contents (strangulat
Sponsors
University of Birmingham
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adult patients undergoing emergency open repair of a strangulated, incarcerated, or obstructed umbilical hernia
Exclusion criteria
Exclusion criteria: 1. Patients who are pregnant will not be eligible as they have altered abdominal wall biomechanics 2. Patients with cirrhosis will not be eligible due to different disease processes driving outcomes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to recruit patients, measured as the number of patients consented into ASTEROID per centre per month | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The proportion of patients retained in the study at 30 days post-surgery will be derived from the number of fully completed PROMs at the 30-day timepoint / the number of patients consented at baseline 2. The proportion of surgeons willing to randomise the patient for repair type and post-surgical antibiotics will be assessed as those willing to accept the theoretical randomised allocations over those who would not, measured at baseline 3. Reoperation on hernia within 30 days, collected as a specific variable on the 30-day follow-up form 4. Surgical site infection within 30 days (defined using CDC criteria) 5. Surgical site occurrence within 30 days (defined as surgical site infection OR seroma [clinical/radiological] OR wound dehiscence) | — |
Countries
England, United Kingdom
Contacts
Public ContactMichala Pettitt
Outcome results
None listed